Adjustable shoulder exercise device

ABSTRACT

An adjustable shoulder exercise device which includes a frame base, a pair of frame columns having a vertical portion and a horizontal portion, at least one cross frame which extents orthogonally relative to the vertical portion of the frame columns and either pulley assemblies or a resistance band set. The adjustable shoulder exercise device allows total control of all active and passive motions of the shoulder, in multiple planes and using multiple kinetic chains of motion. The adjustable shoulder exercise device described herein acts as a three dimensional grid system employing the use of multiple pulley assemblies or resistance bands that can be positioned in a multitude of heights and lateral positions to allow movements to be performed from all angles relative to the human shoulder.

CROSS REFERENCE TO RELATED APPLICATIONS

This application is a continuation in part of, claims the benefit of,and incorporates by reference co-pending U.S. patent application Ser.No. 16/537,556 filed Aug. 10, 2019.

BACKGROUND OF THE INVENTION Field of the Invention

This invention relates to a device structured to enable the performanceof exercises directed at a user's shoulder joint and which allows theuser to work substantially all the shoulder stabilizer and motioncontrol muscles without assistance from another person.

Description of the Prior Art

The shoulder is the joint with the greatest amount of movement in thebody. The shoulder is like a ball and socket, except that the socket isshallow which provides greater movement mechanics but less stability.Instability is a common problem and is the root of many shoulderinjuries for not only young athletes but individuals of all ages.Indeed, while young athletes may often suffer from acute injuries, olderindividuals commonly suffer from the result of years and years of useand the muscular requirements to stabilize the shoulder. In any event,whether from injuries, overuse, or cumulative effects, shoulderconditions often become the leading cause of shoulder pain.

The shoulder moves in three axis of motion. One such motion is commonlyreferred to as abduction and adduction. Abduct means move away from thebody and adduction toward the body. Another such motion is commonlyreferred to as internal and external. These can be envisioned from astarting point of one's elbow down to their side and their elbow bent ata ninety degree angle with hand facing forward. Moving the hand towardthe center of your body with the elbow still at your side is internalrotation. Moving the hand away with elbow still at your side is externalmotion. Further, moving the elbow out to the side and while still movingthe hand back and forth with it at your side is internal and externalrotation in abduction. Yet another such motion is commonly referred toas transverse (or horizontal) rotation. This motion describes the act ofgoing around the body center in a circular motion.

Over thirty muscles are involved in the shoulder complex. There are fourdifferent divisions associated with the integrated shoulder motions.These four divisions are: STERNOCLAVICLE, ACROMIOCLAVICULARGLENOHUMERAL, and SCAPULOTHORACIC. The combination of bones, joints,articular surfaces, ligaments, tendons, muscles and nerves and bloodvessels all participate in the coordination movement of the mostflexible joint in the human body

For example, the shoulder girdle muscles are comprised by thelevator-scapulae, serratus anterior, trapezius, rhomboids and pectoralisminor. Internal rotation requires the utilization of the rectoralismajor, latissimus dorsi, anterior deltoid, teres major andsubscapularis. External rotation requires the utilization of theinfraspinatus and teres minor.

It is well established that exercising the muscles in and around theshoulder are critical in maintaining shoulder strength and flexibility.While there are many existing devices which try to facilitate variousshoulder movements and exercises, there remains a need for an exercisedevice which allows total control of all active and passive motions ofthe shoulder, in multiple planes and using multiple kinetic chains ofmotion, and that can be controlled solely by the user. It would behelpful is such a device was able to selectively incorporate resistancebands to provide automatic progressive resistance to various motions.

SUMMARY OF THE INVENTION

The present disclosure provides for an adjustable shoulder exercisedevice, comprising: a frame base configured to allow the adjustableshoulder exercise device to stand freely when placed on a substantiallyflat, level surface; at least one elongated frame column having a bottomend, wherein the bottom end is attached to the frame base and includes avertical portion which extends vertically from the frame base in aperpendicular orientation relative to the surface on which the framebase is placed; wherein the at least one frame column includes an upperportion situated such that the vertical portion is between the upperportion and the bottom end, wherein the upper portion extends outwardlyrelative to the at least one frame column in a front direction; at leastone cross frame member attached to the at least one frame column at alocation in between the bottom end and the upper portion, wherein the atleast one cross frame member is oriented on an intersecting planerelative to the plane which includes the vertically orientated at leastone frame column.

Embodiments of the adjustable shoulder exercise device may additionallyinclude a pulley assembly configured to facilitate reciprocating motionbetween two limbs of a user, one or more resistance bands configured toprovide progressive resistance when pulled, and at least one rollerassembly operative to provide at least one of a support or anobstruction to a user's arm.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a front perspective view of an adjustable shoulder exercisedevice built in accordance with a dual overhead pulley embodiment of thepresent invention.

FIG. 2 is a side perspective view of an adjustable shoulder exercisedevice built in accordance with a dual overhead pulley embodiment of thepresent invention.

FIGS. 3a, 3b, and 3c show an adjustable shoulder exercise device builtin accordance with a dual overhead pulley embodiment of the presentinvention being used to perform shoulder abduction.

FIGS. 4a and 4b show an adjustable shoulder exercise device built inaccordance with a dual overhead pulley embodiment of the presentinvention being used to perform shoulder extension.

FIGS. 5a, 5b, and 5c show an adjustable shoulder exercise device builtin accordance with an embodiment of the present invention being used toperform internal rotation on a vertical plane.

FIGS. 6a, 6b, and 6c show an adjustable shoulder exercise device builtin accordance with an embodiment of the present invention being used toperform internal rotation on a horizontal plane.

FIGS. 7a, 7b, and 7c show an adjustable shoulder exercise device builtin accordance with an embodiment of the present invention being used toperform external rotation on a vertical plane.

FIGS. 8a and 8b show an adjustable shoulder exercise device built inaccordance with a dual overhead pulley embodiment of the presentinvention being used to perform external rotation on a horizontal plane.

FIGS. 9a, 9b, 9c, and 9d provide an side elevational view, top crosssectional view, top plan view, and side cross sectional view of thehandle of an adjustable shoulder exercise device built in accordancewith of the present invention.

FIG. 10 is a front perspective view of an adjustable shoulder exercisedevice built in accordance with a single overhead pulley embodiment ofthe present invention.

FIG. 11 is a side perspective view of an adjustable shoulder exercisedevice built in accordance with a single overhead pulley embodiment ofthe present invention.

FIGS. 12a and 12b show an adjustable shoulder exercise device built inaccordance with a single overhead pulley embodiment of the presentinvention being used to perform a middle back exercise.

FIGS. 13a, 13b, and 13c show an adjustable shoulder exercise devicebuilt in accordance with a single overhead pulley embodiment of thepresent invention being used to perform a behind the head exercise.

FIG. 14a is a front perspective view of an adjustable shoulder exercisedevice built in accordance with a dual column embodiment of the presentinvention.

FIG. 14b is an exploded front perspective view of an adjustable shoulderexercise device built in accordance with a dual column embodiment of thepresent invention.

FIG. 15 is a side perspective view of an adjustable shoulder exercisedevice built in accordance with a dual column embodiment of the presentinvention.

FIGS. 16a and 16b show an adjustable shoulder exercise device built inaccordance with a dual column embodiment of the present invention beingused to perform shoulder abduction.

FIGS. 17a and 17b show an adjustable shoulder exercise device built inaccordance with a dual column embodiment of the present invention beingused to perform a forward flexion exercise.

FIGS. 18a and 18b show an adjustable shoulder exercise device built inaccordance with a dual column embodiment of the present invention beingused to perform a scapular flexion exercise.

FIGS. 19a and 19b show an adjustable shoulder exercise device built inaccordance with a dual column embodiment of the present invention beingused to perform external rotation on a horizontal plane.

FIGS. 20a and 20b show an adjustable shoulder exercise device built inaccordance with a dual column embodiment of the present invention beingused to perform internal rotation on a horizontal plane.

FIGS. 21a and 21b show an adjustable shoulder exercise device built inaccordance with a dual column embodiment of the present invention beingused to perform external rotation on a vertical plane.

FIGS. 22a and 22b show an adjustable shoulder exercise device built inaccordance with a dual column embodiment of the present invention beingused to perform internal rotation on a vertical plane.

FIGS. 23a and 23b show an adjustable shoulder exercise device built inaccordance with a dual column embodiment of the present invention beingused to perform a functional exercise which simulates getting dressed.

FIGS. 24a and 24b show an adjustable shoulder exercise device built inaccordance with a dual column embodiment of the present invention beingused to perform a functional exercise which simulates going behind theback.

FIGS. 25a and 25b show an adjustable shoulder exercise device built inaccordance with a dual column embodiment of the present invention beingused with a resistance band to perform external rotation on a horizontalplane.

FIGS. 26a and 26b show an adjustable shoulder exercise device built inaccordance with a dual column embodiment of the present invention beingused with a resistance band to perform internal rotation on a horizontalplane.

FIGS. 27a and 27b show an adjustable shoulder exercise device built inaccordance with a dual column embodiment of the present invention beingused with a resistance band to perform internal rotation on a verticalplane.

DETAILED DESCRIPTION OF THE INVENTION

Described herein is an adjustable shoulder exercise device which allowstotal control of all active and passive motions of the shoulder, inmultiple planes and using multiple kinetic chains of motion, and thatcan be controlled solely by the user. The adjustable shoulder exercisedevice described herein acts as a three dimensional grid systememploying the use of multiple pulley assemblies that can be positionedin a multitude of positions on the grid that will produce multiplanemovements of the human shoulder. In addition, the pulley assembliesallow for a user to apply reciprocating motion for the purpose ofexercise through use of their opposing limbs to provide resistance asdesired. In some embodiments, the pulley assemblies may employresistance bands in order to provide automatic progressive resistance.

Referring now to the drawings and, in particular, FIGS. 1, 2, 3 a, 3 b,3 c, 4 a, 4 b, 5 a, 5 b, 5 c, 6 a, 6 b, 6 c, 7 a, 7 b, 7 c, 8 a, 8 b, 9a, 9 b, 9 c, and 9 d, a dual overhead pulley embodiment of an adjustableshoulder exercise device 100 shown having a frame base 110, a framecolumn 120, two cross frame members 130, and an upper frame that isembodied as a T frame member 140.

The frame base 110 may be include a lateral portion 111, an attachmentsleeve 112, and a pair of base supports 113, with the base attachmentsleeve 112 oriented orthogonally relative to the lateral portion 111,extending upward from the middle of the lateral portion 111, and thebase supports 113 positioned at each end of the lateral portion 111,each in an orthogonal orientation relative to the lateral portion 111running on the same plane as the lateral portion. In this regard, thelateral portion 111 and the base supports 113 combine to provide a widebottom area which configures the adjustable shoulder exercise device 100to be freestanding when placed on a substantially flat, level surface(such as a floor) while the base attachment sleeve 112 provides a slotin which the frame column 120 can be inserted and securely positioned inan upright, vertical position relative to the surface on which thelateral portion 111 and the base supports 113 are placed.

The frame column 120 may be defined by an elongated, linear bar that issized such that one end can slide into and be secured to, frictionallyand/or with a locking device 101 such as a lobed knob with a threadedstem (or a spring loaded smooth stem), the base attachment sleeve 112.In embodiments with such a locking device 101, the frame column 120 andthe base attachment sleeve 112 may each include a threaded (or smooth ifa spring loaded stem is utilized) securing hole (not shown) which alignwith one another when the frame column 120 is positioned in the baseattachment sleeve 112 so that the threaded stem can be inserted intoboth holes and secure the frame column 120 is positioned in the baseattachment sleeve 112.

It is contemplated that the frame column 120 may be formed from a singlebar or from multiple bars which are attached together end to end.

Each cross frame member 130 is defined by an cross attachment sleeve 131having two opposing lateral bars 132 extending outwardly therefrom. Thecross attachment sleeve 131 is sized and shaped to fit over the framecolumn 120 and slide longitudinally thereon. The attachment sleeve 131may be selectively fixed in place on the frame column 120 with a lockingdevice 101 in the same manner as described with respect to the framecolumn 120 and base attachment sleeve 112 (including through aligningsecuring holes, minus any frictional fit). In this regard, the crossframe member 130 and the frame column 120 are configured so that thecross frame member 130 can be selectively fixed in place on the framecolumn 120.

When the cross attachment sleeve 131 is (slidably or fixedly) in placeon the frame column 120, the two lateral bars 132 are positioned toextend orthogonally from each side of the frame column 120.

The adjustable shoulder exercise device 100 may consist of 2 or morecross frame members 130. The cross frame members 130 may include aseries of holes used to locate pulley assemblies with respect to theframe column 120, as discussed below. Most cases a given pulley assemblywill be positioned across the same cross frame member 130. In caseswhere cross the body motion patterns are required, however, the controlpulley (as defined herein) may be located on one cross frame member 130and the control arm pulley (as defined herein) may be located on anothercross frame member 130.

The T frame member 140 may include an attachment sleeve 141, a frontextension portion 142, and a front cross portion 143, with the frontextension portion 142 extending orthogonally from the front of the framecolumn 120 and the front cross extension portion 143 attached to thedistal end of the front extension portion 142 relative to the framecolumn 120. The attachment sleeve 141 may slidably fit over the framecolumn 120 and may be selectively fixed in place on the frame column 120with a locking device 101 in the same manner as described with respectto the frame column 120 and cross attachment sleeve 131. In this regard,the T frame member 140 and the frame column 120 are configured so thatthe T frame member 140 can be selectively fixed in place on the framecolumn 120. Each of the front extension portion 142 and the front crossextension portion 143 are oriented on a parallel plane relative to thelateral portion 111 and the base supports 113, with the front extensionportion 142 and the front cross extension portion 143 shaped as acapital “T” along said plane.

The size of the T frame member 140 may be adjustable by way of atelescoping operation of the front extension portion 142. The frontcross extension portion 143 may include has a series of holes on theleft and right side thereof. These holes are to locate the pulleyassemblies used to provide forward flexion and also called abduction andadduction. Depending on the location of the control arm pulley (asdefined herein) and the control motion pulley (as defined herein), auser may control the amount of abduction and adduction while performingforward flexion. The closer the two pulleys are together, the arm israised with the elbows closer to the individuals side, farther apart theelbows are pulled away from the side as they are raised. The sameapplies as if the front extension portion 142 is extended out fartherfrom the vertical post, the farther away the arm is lifted with theelbow farther away from the body.

The adjustable shoulder exercise device 100 may additionally include aplurality of pulley assemblies and a single or multiple rollerassemblies. It is contemplated that the cross frame member 130, T framemember 140, and even the frame column 120 provide attachment points forthe pulley assemblies and roller assemblies.

Each pulley assembly include two pulleys 150, two handle members 160,and a cord or rope 151 that extends from one handle 160, through bothpulleys 150 and connects to the other handle 160. Through thisinterconnected design, the pulley assemblies are configured tofacilitate reciprocating motion between two limbs of a user. The pulleys150 are equipped with a swivel eye carabiner 152, and attached to thatswivel eye carabiner is an eye bolt 153. The eye bolt 153 has a threadedthru knob that is designed to be attached to a hole in the cross framemember 130 or T frame member 140. As such, the pulleys 150 of a givenpulley assembly modules may be selectively positioned based on thelocation of the holes located on the cross frame member 130 or T framemember 140. As referenced herein, a control arm pulley 150 and thecontrol pulley 150 are determined by which pulley is used control thepulling motion and which controls the arm motion, respectively.

Each handle 160 may be comprised of four parts, functioning to provide agripping mechanism for the patient and as a rope length adjustmentmechanism. As such, each handle 160 may include a grip handle 161, aneyebolt 162, a knob 163, and a slotted insert 164.

The grip handle 161 has thru hole located in its center that provides alarge enough hole to allow the rope 151 to pass through. The slottedinsert 164 is disposed in the grip handle 161 with the open slot towardthe center. The eyebolt 162 is disposed into the grip handle 161 withthe threaded end inserted first. The threaded end passes through theslotted insert 164 such that the outside diameter of the eyebolt 162aligns with the slot in the grip handle 161. The threaded end of theeyebolt 162 then extends out of the hole located on the closed end ofthe grip handle 161 and the female threaded knob 162 is threaded ontothe eyebolt 162.

By aligning the eye of the eyebolt 162 and the thru hole of the griphandle 161, the rope 151 may be is inserted into the grip handle 161 andpass through the eye of the eyebolt 162 and out through the oppositeside of the grip handle 161. Once adjusted to proper length the knob 162is turned and as it is turned the rope 151 is squeezed between the endof the slot in the insert tube and the inside of the eye in the eyebolt162. Through this design, the handle members 160 are configured to allowfor adjustment of the length of the rope 151 as required by the exercisebeing performed and as required to anatomically fit the patient be it ina standing or sitting position, in addition to providing a grip for bothhands to allow reciprocal motion between two arms.

The cross frame members 130 and T frame member 140 each allow the pulleyassemblies to be attached strategically in order to produce threedimensional shoulder motions that are controlled by one individual. Theadjustable cross frame members 130 can be selectively positioned alongthe frame column 120, which in most cases will align on a parallel planewith a user's backbone. The cross frame members 130 can be adjusted upor down to correspond to the height of the individual in either astanding or in a sitting position. Moreover, there are multiplelocations on each cross frame members 130 for the pulley assemblies tobe positioned to allow control of shoulder abduction, adduction,internal rotation, external rotation, horizontal abduction, horizontaladduction, forward flexion and shoulder retraction, as illustrated inthe drawings. Similarly, the pulley assemblies can be set at differentdistances to the left and right with respect to the centrally locatedframe column 120 as well as up and down with respect to a floor surface.

Likewise for a single pulley assembly, the pulley 150 to the left of theframe column 120 and the pulley 150 to the right of the frame column 120can also be located on separate cross frame members 130 to allow controlof cross arm patterns that can provide multiple plane motions, such aswith an arm being horizontally adducted and at the same time beingelevated or reversed producing horizontal abduction and de-elevation.Similarly, the front extension portion 142 of the T frame member 140 maybe telescopically adjustable so as to be moved distally or proximallyfrom the frame column 120. The front cross portion 143 allows a pulleyassembly to be positioned strategically close to or far away from thesagittal plane. The orientation of the pulleys 150 can control thedegree of abduction or adduction the individual will experience as thearm is being elevated (raised) or being lowered.

A given roller assembly may include roller attachment frame 170 and aroller pad 171. A given roller attachment frame 170 may either be sizedto fit over and slide longitudinally on one of the cross frame members130 or on the frame column 120. The roller attachment frame 170 mayinclude a locking device 101, and each of the cross frame members 130and the frame column 120 include may include holes located thereon toallow the locking device to be used to fix the roller attachment frame170 in place. The roller attachment frame 170 may additionally include arigid roller spine portion over which the roller pad 171 is placed sothat the roller pad 171 remains in place when a user pushes against it.The roller pad 171 may be formed of a deformable material, such as foam,and may be positioned to face in any 90 degree orientation off of theframe column 120 or one of the cross frame members 130. The roller pad171 is used to provide support to the user's arms for some exercises andas a obstruction in other exercises wherein it restricts movement of theshoulder girdle, scapula rotation, or abduction of the arm whenperforming external and internal rotation. For example, in the case ofan external rotation in abduction, the user's arm is abducted away fromtheir side and allowed to rest on top of the roller pad 171, with thecontrolling pulley 150 (i.e., the pulley that is on the opposite side ofthe controlling arm) located on a cross frame member 130 at a locationon the frame column 120 that will control the number of degrees the armwill rotate. If the control pulley 150 is the set above the roller pad171 at the same length as the individuals forearm, then the arm willrotate ninety degrees.

Similarly, the roller assembly can block an unwanted motion. Blockingthe collar bone from lifting while lifting the arm up is critical afteran individual under goes a shoulder surgical procedure. The doctor wantsthe patient to regain motion in the shoulder joint, so he blocks thecollar bone from lifting up while he lifts the arm upward. Theadjustable shoulder exercise device 100 allows for the positioning ofthe roller pad 171 on top of collarbone such that when the individualpulls with the control arm, the opposite arm will be lifted up while thecollarbone remain down.

Moreover, if a user has a chair very close to the frame column 120 therewill be little horizontal abduction occurring. If, however, the userwere to position their chair farther away from the frame column 120,then there would be some force in the rope 151 and the handle 160 wouldtry to pull their arm back (horizontal abduction) while at the same timerotating their hand up and back. This is a specific type of motion usedin throwing a baseball. This illustrates the capability of theadjustable shoulder exercise device 100 to perform kinetic motion chainsused for a specific sport as many upper body sports require greatershoulder ranges of motion.

In furtherance of this, the descriptions of the exercises provided belowwill also describe the mechanical locations and functions of thedifferent locations for the frames, pulley assemblies and rollerassembly.

As a freestanding, adjustable device, the adjustable shoulder exercisedevice 100 allows a user to maintain significant control of the relativepositioning of their body and of the components. In many instances, auser may align their backbone with the frame column 120. Even still,there are benefits to how close or far the user is located with respectto the frame column 120. For example, by positioning themselves fartheraway from the frame column 120, with the pulley assemblies located inthe coronal plane with respect to the frame column 120, greaterhorizontal abduction or adduction can be created. Furthermore, the usercan rotate so he or she will be facing the frame column 120, therebyincreasing the depth of the motion with respect to the cross framemembers 130. The user can also rotate him or herself or the chair theysit in at various angles to achieve kinetic motions that can simulatereal life motions associated with everyday tasks or those of a skilledathlete. It is also contemplated that a user may lay prone on the floorusing an exercise type mat and perform many other types of functionalshoulder motions.

Because each of the pulley assemblies include handles at both ends, themotions created using the adjustable shoulder exercise device 100 areperformed by the user through reciprocating motion of the oppositelimbs. The one arm may operate as a non-affected control arm and providethe force required to move the handle 160 and likewise the rope 151 in adirection that produces motion at the other end of the rope 151 and thusmoves the other arm (which may be the affected arm) if totally relaxedand holding the other handle 160. Alternatively the control arm may beworked if the other arm is holding the other handle 160 and providingsome resistance. The control arm can exert a force through the rope 151that the opposite arm could resist at the same force and tension wouldbe equal in both arms producing an isometric exercise effect. In thiscase both arms are static. If then the user provides a greater force onthe control arm then the other arm will move under load causing aneccentric type effect. The balancing act between the two arms in pullingor resisting movement is reciprocal motion.

A kinetic chain with each exercise using the shoulder circuit apparatusoccurs with both arms, with the arm consisting of the shoulder joint,elbow joint, wrist, and hand joints. Although a user can use a strap tohold their hand to the handle 160, the user will still have theirfingers wrapped around both handles 160. And as the user pulls with onearm on the handle 160 and rope 151, one arm is moving in one directionand the other arm is moving the opposite direction. So as the user movesthe arm, the elbow joint is also bending and extending and that motioncauses the shoulder joint to move and rotate in three axes. The elbowalso has a radial motion component that is activated with many of thearm motions. The pronation and supination of the elbow results as youflex and extend your elbow in order to move the shoulder joint. Thekinetic chain muscle memory function is being reinforced as each motionis repeated.

It is contemplated that the adjustable shoulder exercise device 100provides specific benefits in comparison to other types of shouldermotion devices. One as mentioned above is the kinetic chain multiplejoint in motion at the same time. The motions in the pulley assembliesas a result of the handle 160 and the hanging downward of the armprovides a natural distraction component for the user created and asthey use their control arm to pull and to lift the opposite arm. Thisrequires the user to contract numerous muscles to create the motion andat same time creating a distractive component in their lifting arm.Also, by moving the pulleys 150 farther away from the center of theirshoulder joint, the compressive force is reduced due to the arm swingingaway from the body as the arm is being lifted.

FIGS. 3a, 3b, and 3c illustrate the adjustable shoulder exercise device100 being used to perform shoulder abduction (or forward flexion)exercise, with FIG. 3a is the starting position, FIG. 3b is the midwayposition, and FIG. 3c being the finished abducted position. The pulleys150 are attached to the T frame member 140, with the pulleys 150positioned where the user's hand should be located when their arm israised to its finished position. For example, if the hand and arm'sending position would be directly above the patients head, then thepulleys 150 are attached to a hole in the T frame member 140 directlyabove the user's head (in the alternative, if it is desired to leavepulleys 150 in a set position, the user's chair may be located toprovide the same effect).

With the user positioned properly and the rope's 151 length adjusted tothe user in order to allow the full excursion of the user's arm and theroller assembly attached to the cross frame member 130 so that theroller pad 171 is located on top of the shoulder so the user cannotcheat and hike up his collar bone and scapula, the user will use thenon-affected arm and handle 160 by pulling downward to lift the affectedarm A3 up to the height prescribed. Then the user may lower the affectedarm A3 slowly using the opposite handle 160 as a braking means. Thisexercise can also be performed in a standing position by raising the Tframe member 140 higher on the frame column 120.

FIGS. 4a and 4b illustrate the adjustable shoulder exercise device 100being used to perform a shoulder extension exercise, with FIG. 4aillustrating the starting position where the affected arm A4 is relaxedat the patients side and FIG. 4b illustrating the finished position withthe affected arm A4 extended to the rear. For set up, the T frame member140 is positioned above head height, with the pulleys 150 attached tothe T frame member 140 in holes which locate the pulleys 150 where theuser's hand should be located when their arm is raised to its finishedposition.

The user in this exercise is standing and positioned out in front of thepulleys 150 such that when the affected arm A4 is extended to the rear,the arm can be fully extended without hitting the cross frame members130 or the pulleys 150. The user can move further forward to increasethe extension range. The user can also position the shoulder withglenohumeral head offset sideways to the pulley 150 in order to creategreater extension as well as greater horizontal extension, whereby therope 151 and handle 160 retract and is forced to move back and towardthe spine. Likewise if positioned with pulley 150 farther back and tothe side the arm will be extended and also abducted.

The action requires the user to grasp the handle 160 with thenon-affected arm and hand and begin to pull downward. The affected handand arm A4 will begin to swing back and up.

FIGS. 5a, 5b, and 5c illustrate the adjustable shoulder exercise device100 being used to perform a vertical internal rotation exercise. Theroller assembly attached to the cross frame member 130 so that theroller pad 171 is positioned to support the patients arm at about ninetydegrees of abduction while sitting in the chair. In the alternative, theroller assembly could attached to the frame column so that the rollerpad 171 is more centrally located to reduce the abduction angle. Thecross frame member 130 is located near the hip level while sitting in achair. This position will pull the arm into internal rotation.

FIG. 5a illustrates the starting position, with the affected hand A5gripping the handle 160. The hand can be palm down or the forearm can berotated into a more comfortable position to start the exercise. Usingthe opposite handle, the user pulls on the handle 160 and the affectedarm A5 will be pulled down towards the pulley 150 and internally rotatethe shoulder. If any pain is experienced, the user would stop pulling.

FIG. 5b illustrates the affected arm A5 being internally rotated at amore advanced angle from the starting position. And FIG. 5c illustratesthe finished position, wherein the user can stop pulling with thenon-affected arm and bring the affected arm A5 back up into the startingposition and repeat exercise; or reverse action and pull up withaffected arm while providing resistance with the non-affected armcreating a resistance exercise routine. Advanced exercise can includeisometric movement wherein the patient can pull up with affected arm andcompletely resist any movement using non-affected arm at variouspositions, creating the isometric effect.

FIGS. 6a, 6b, and 6c illustrate the adjustable shoulder exercise device100 being used to perform a horizontal internal rotation exercise. Thecross frame member 130 would be positioned at elbow height for astanding user. The user would then turn sideways relative to the framecolumn 120. For greater internal rotation, the user would move forwardso that adjacent pulley 150 is located more in line with the user'sside. For less rotation, the user would move away by backing fartheraway from the pulley 150.

FIG. 6a illustrates the user with the pulley 150 at about elbow heightand a bit further forward relative to his mid-section. The user has athumb up hand grip on the handle 160 and the roller assembly attached tothe cross frame member 130 so that the roller pad 171 is in between hisbicep and his rib cage. The user then applies pressure inward on foampad roller pad 171 and pulls out of the rope 151 in the non-affectedhand, causing the shoulder to rotate in toward his abdomen and creatinginternal rotation in an adducted position.

FIG. 6b shows the internal rotation continuing to increase, and FIG. 6cshows the completion of the internal rotation at its mechanical limit(by stepping forward, however, the user can increase the range ofmotion).

FIGS. 7a, 7b, and 7c illustrate the adjustable shoulder exercise device100 being used to perform a vertical external rotation exercise. Thisrequires the cross frame member 130 with the attached pulleys 150 to belocated at about ear height for a seated user. The handles 160 are to beadjusted so that the length of the rope 151 allows the user to taketheir non-affected hand and push out (as shown in FIG. 7a ) on thehandle 160 to causing the affected arm A7 to be lifted upward whilerotating backwards, causing external rotation of the shoulder. The userthen continues to pull forward on the handle 160 with the non-affectedarm (as shown in FIG. 7b ), rotating the arm until they reach theirlimit (as shown in FIG. 7c .)

A user can also use the roller assembly attached to the frame column 120so that the roller pad rests above their arm between the elbow andshoulder such that the angle formed between the elbow, arm pit, and hipis approximately 90 degrees.

FIGS. 8a and 8b illustrate the adjustable shoulder exercise device 100being used to perform an external rotation on a horizontal planexercise. This requires the cross frame member 130 with the attachedpulleys 150 to be located at about elbow height for a standing user thatis facing sideways relative to the frame column 120 about 20 inches awayfrom the cross frame member 130. The roller assembly attached to thecross frame member 130 so that the roller pad 171 is contact with backof the elbow (shown in FIG. 8a ). An extra roller pad 171 a that is notattached to a roller assembly may be tucked under the affected arm A8between the rib cage and the medial side of the bicep. With affected armA8 down to the user's side and their forearm and hand facing to thefront, the user grasps the handle 160, takes their non-affected arm andgrasps the other handle 160, and pulls with their non-affected arm onthe handle 160 and rope 151 so that the affected arm A8 will be pulledout to the side toward the pulley 150. This action begins to rotate theaffected arm A8 into external rotation (shown in FIG. 8b ). The user maythen continue to pull with the non-affected arm until they reach theirlimit.

Referring now to the drawings and, in particular, FIGS. 10, 11, 12 a, 12b, 13 a, 13 b, and 13 c, a single overhead pulley embodiment of anadjustable shoulder exercise device 200 shown having a frame base 210, aframe column 220, one or multiple cross frame members 230, and an upperframe that is embodied as an overhead frame member 240.

The frame base 210, frame column 220, and cross frame member(s) 230 ofthe single overhead pulley embodiment of an adjustable shoulder exercisedevice 200 are structured and arranged similar to the frame base, framecolumn, and cross frame member(s) of the dual overhead pulley embodimentof an adjustable shoulder exercise device described above, respectively.The single overhead pulley embodiment of an adjustable shoulder exercisedevice 200 may also operate with analogs of the pulley assemblies androller assemblies described with reference to the dual overhead pulleyembodiment of an adjustable shoulder exercise device.

The overhead frame member 240 may include an attachment sleeve 241 and afront extension portion 242, which may be designed similar to how theattachment sleeve and front extension portion are in the dual overheadpulley embodiment of an adjustable shoulder exercise device. In thesingle overhead pulley embodiment of an adjustable shoulder exercisedevice 200, however, there is no corresponding portion to the frontcross portion in the dual overhead pulley embodiment of an adjustableshoulder exercise device. Moreover, the front extension portion 242 mayinclude holes to which a single pulley assembly 250 can be attached. Thesingle pulley assembly 250 is structured similar to the pulleyassemblies of the dual overhead pulley embodiment of an adjustableshoulder exercise device, except that they only include a single pulley(instead of two).

It is contemplated that the dual overhead pulley embodiment of anadjustable shoulder exercise device may be convertible to the singleoverhead pulley embodiment of an adjustable shoulder exercise device, orvice versa, by changing out the upper frame.

FIGS. 12a and 12b illustrate the adjustable shoulder exercise device 200being used to perform a middle back exercise. The single pulley assembly250 is attached to the overhead frame member 240, and the height of theoverhead frame member 240 is adjusted so that the single pulley assembly250 is above the user's head. The user then stands under the singlepulley assembly 250 so that it aligns with the center of their back. Theuser the stands facing the frame column 220 and lowers the handle on theaffected arm A12 side so that they can hang their arm down to their sideand then move their hand behind the buttock. The user then reaches upwith the opposite hand and grabs the other handle. Now the user pullsdown slowly with the opposite hand. As they pull down, the affected handand arm A12 will rotate up as if they are scratching their back.

The user may then pause and hold when they feel uncomfortable (as shownin FIG. 12b ), and then continue to pull down on the handle. Once theirmechanical limit is reached, they can lower the affected arm A12 backdown and repeat.

FIGS. 13a, 13b, and 13c illustrate the adjustable shoulder exercisedevice 200 being used to perform a behind the head exercise. The singlepulley assembly 250 is attached to the overhead frame member 240, andthe height of the overhead frame member 240 is so that the single pulleyassembly 250 is above the user's head. Then, the user stands with theirback facing the frame column 220, slightly in further than single pulleyassembly 250 from the frame column 220. The user may start in theposition shown in FIG. 13b , grabbing each handle with a hand. The userthen pulls downward with the hand that will provide the energy to movetheir affected arm A13 and hand up and behind their head as though youare going to comb your hair (shown in FIG. 13a ). Then, the userreverses directions and move the opposite hand up and behind the head(shown in FIG. 13c ).

In any embodiment, the adjustable shoulder exercise device may be usedto turn exercises into resistance training. This is because theadjustable shoulder exercise device can duplicate the rehabilitationtechniques used by expensive isotonic and isometric machines.

The previous exercises taught the way to passively move the shoulderjoint using one arm (motor) to generate the energy (force) to move theaffected arm in a non-resistive state. By simply providing someresistance with the affected hand and arm and providing more force withthe motor arm to cause the affected arm to move while resisting, you arecreating an eccentric exercise.

In order to do an isometric exercise, pull with the motor arm and resistthe movement with the affected arm such that both arms are pulling andresisting at the same force. No movement of either arm takes place thusyou have created an isometric exercise. Holding that static position forabout 10 seconds you can then relax both arms and move to a new positionand again applying equal force with each arm at new location you arebuilding strength at various positions in the range of motion for eachexercise.

To do an isotonic type exercise, resist with the non-affected arm andpull with the affected arm through the range of motion described by theexercise shown in FIGS. 3-8.

Referring now to FIGS. 14a, 14b , 15, 16 a, 16 b, 17 a, 17 b, 18 a, 18b, 19 a, 19 b, 20 a, 20 b, 21 a, 21 b, 22 a, 22 b, 23 a, 23 b, 24 a, 24b, 25 a, 25 b, 26 a, 26 b, 27 a, and 27 b, a dual column embodiment ofan adjustable shoulder exercise device 300 shown having a frame base310, a pair of frame columns 320, and three cross frame members 330.

The frame base 310 may be include a lateral portion 311, a pair ofcolumn connectors 312, and a U-shaped of base support 313, with thelateral portion 311 extending between the opposing sides of the basesupport 313 and the column connectors 312 oriented orthogonally relativeto the lateral portion 311, each extending upward from the lateralportion 311. The column connectors 312 may each be disposed on thelateral portion 311 at a location adjacent to one of the opposing endsof the lateral portion 311 where the lateral portion 311 contacts thebase support 313. The base support 313 is positioned on the same planeas the lateral portion 311, thereby providing a wide bottom area whichconfigures the adjustable shoulder exercise device 300 to befreestanding when placed on a substantially flat, level surface (such asa floor).

The column connectors 312 each provide a structure in which one of theframe columns 320 can be attached to and extend from in an upright,vertical position relative to the surface on which the lateral portion311 and the base support 313 are placed. The column connectors 312 mayeach include a stability bar 314 which runs diagonally from therespective base attachment connector 312 to the base support 313 toprovide enhanced stability for the frame columns 320 that are attachedto the column connectors 312.

Each of the frame columns 320 may be defined by an elongated bar havinga vertical portion 321 and a horizontal portion 322. The frame columns320 may each be attached to one of the column connectors 312 through anattachment insert 323 that is sized such that one end can slide one ofthe column connectors 312 and the other end can slide into one of theframe columns 320. A locking device 301 such as a lobed knob with athreaded stem (or a spring loaded smooth stem) integral with the baseattachment connector 312 may be used to secure the attachment insert 323inside the base attachment connector 312 and another locking device 301integral with the frame column 320 may be used to secure the attachmentinsert 323 inside the frame column 320. In this regard, when one of theframe columns 320 is positioned next to one of the column connectors 312with opposite ends of the attachment insert 323 slid into both the framecolumn 320 and column connectors 312, the frame column 320 and columnconnectors 312 may be secured together.

In embodiments with such a locking device 301, the frame columns 320 andthe column connectors 312 may each include a threaded (or smooth if aspring loaded stem is utilized) securing hole (not shown) adjacent totheir end. Such holes may orientationally align with one another whenone of the frame columns 320 is positioned against one of the columnconnectors 312 so that one of the locking devices 301 can be insertedinto both holes to engage an attachment insert 323 that has been placedinside the respective frame column 320 and column connectors 312.

Each of the frame columns 320 may additionally include a secondattachment point 324 wherein two bars are attached end to end with anattachment insert 323 and a pair of locking devices 301 in the samemanner that the frame columns 320 are attached to the column connectors312.

It is contemplated, however, that each of the frame columns 320 mayalternatively be formed from a single bar or from some other combinationof multiple bars which are attached together end to end.

Each cross frame member 330 is defined by a elongated rigid bar andutilizes a pair of cross attachment sleeves 331, each having bar holdingportion and a column holding portion, with each in the pair of crossattachment sleeves 331 being attached to one of the frame columns 320 ata vertically identical position by operation of the column holdingportion, and cross frame member 330 attached to the bar holding portionof both of the cross attachment sleeves 331, extending between each, andextending outwardly from each. Both the bar holding portion and a columnholding portion may be formed of a circular clamp that can be loosenedand tightened by operation of a threaded screw. In this regard, thecross attachment sleeves 331 are configured to be selectively fixed inplace on the frame columns 320 at a desired vertical position and theframe columns 320

When a pair of cross attachment sleeves 331 are secured in place on theframe columns 320 at the same vertical position, the cross frame member330 may be secured across the pair of cross attachment sleeves 331,positioned to extend orthogonally relative to the frame columns 320.

The adjustable shoulder exercise device 300 may consist of three crossframe members 330 or any other suitable number.

The horizontal portion 322 may extend orthogonally from the verticalportion 321 of each frame column 320, oriented on a parallel planerelative to the lateral portion 311 and the base support 313.

The adjustable shoulder exercise device 300 may additionally include aplurality of pulley assemblies and a single or multiple rollerassemblies. It is contemplated that the pulley assemblies and rollerassemblies may be attached (as described below to the cross framemembers 330 and/or horizontal portion 322.

Each pulley assembly include two pulleys 350, two handle members 360,and a cord or rope 351 that extends from one handle 360, through bothpulleys 350 and connects to the other handle 360. Through thisinterconnected design, the pulley assemblies are configured tofacilitate reciprocating motion between two limbs of a patient. Thepulleys 150 are equipped with a attachment mechanism which may bedefined as a circular clamp that can be loosened and tightened byoperation of a threaded screw. In this regard, the pulleys 150 can beattached at substantially any point on the cross frame members 330 orhorizontal portion 322. As such, the pulleys 350 of a given pulleyassembly modules may be selectively positioned on the cross framemembers 330 or horizontal portion 322.

As referenced herein, a control arm pulley 350 and the control pulley350 are determined by which pulley is used control the pulling motionand which controls the arm motion, respectively.

It is contemplated that the positioning of pulley assemblies across thecross frame members 330 or horizontal portion 322 provide for comparableadvantages for exercise and controlled motion as described above inreference to other embodiments of the adjustable shoulder exercisedevice.

A roller assembly may include roller attachment frame 370 and a rollerpad 371. The roller attachment frame 370 may be attached orthogonallyacross several cross frame members 330, parallel with the frame columns320, by way of a plurality of cross attachment sleeves 331. Similarlythe roller pad 371 may be attached orthogonally to the roller attachmentframe 370, oriented so that it is perpendicular to both the rollerattachment frame 370 and the cross frame members 330, by way of a crossattachment sleeves 331. The roller pad 371 may include a rigid spinesurrounded by a deformable material, such as foam.

It is contemplated that the roller pad 371 provide for comparableadvantages for exercise and controlled motion as described above inreference to other embodiments of the adjustable shoulder exercisedevice.

FIGS. 16a and 16b illustrate the adjustable shoulder exercise device 300being used to perform shoulder abduction (or forward flexion) exercise,with FIG. 16a is the starting position and FIG. 16b being the finishedabducted position. The pulleys 350 are attached to the horizontalportion 322 of each frame columns 320, with the pulleys 350 positionedwhere the patient's hand should be located when their arm is raised toits finished position. For example, if the hand and arm's endingposition would be directly above the patients head, then the pulleys 350are attached on the horizontal portion 322 directly above the patient'shead (in the alternative, if it is desired to leave pulleys 350 in a setposition, the patient's chair may be located to provide the sameeffect).

With the patient positioned properly and the rope's 351 length adjustedto the patient in order to allow the full excursion of the patient's armand the roller assembly attached to one of the cross frame members 330so that the roller pad 371 can be located on top of the shoulder so thepatient cannot cheat and hike up his collar bone and scapula, thepatient will use the non-affected arm and handle 360 by pulling downwardto lift the affected arm A16 up on the side to the height prescribed.Then the patient may lower the affected arm A16 slowly using theopposite handle 360 as a braking means. This exercise could also beperformed in a standing position depending on the height of the patientrelative to the horizontal portion 322.

FIGS. 17a and 17b illustrate the adjustable shoulder exercise device 300being used to perform a shoulder extension exercise, with FIG. 17aillustrating the starting position where the affected arm A17 is down infront of the patient and FIG. 17b illustrating the finished positionwith the affected arm A17 straight up above the patient's head. For setup, the pulleys 350 are attached to the horizontal portion 322 locatedabove and slightly in front of the patient's shoulders.

The patient in this exercise is seated with the affected arm A17 down(grasping the handle 360), and the action requires the patient to usethe non-affected arm (grasping the other handle (360) to pull theaffected arm A17 upward in front of their body. The non-affected handand arm provides the force to accomplish this by moving down, and canraise up to reset to the beginning.

FIGS. 18a and 18b illustrate the adjustable shoulder exercise device 300being used to perform scapular flexion exercise, with FIG. 18a is thestarting position and FIG. 18b being the finished position. Thismovement requires the pulleys 350 to be attached to the horizontalportion 322 of each frame columns 320, with the pulleys 350 positionedwhere the patient's hand should be located when their arm is raised toits finished position. For example, if the hand and arm's endingposition would be directly above the patients head, then the pulleys 350are attached on the horizontal portion 322 directly above the patient'shead (in the alternative, if it is desired to leave pulleys 350 in a setposition, the patient's chair may be located to provide the sameeffect).

With the patient positioned properly and the rope's 351 length adjustedto the patient in order to allow the full excursion of the patient's armand the roller assembly attached to one of the cross frame members 330so that the roller pad 371 can be located on top of the shoulder so thepatient cannot cheat, the patient will use the non-affected arm andhandle 360 by pulling downward to lift the affected arm A18 at a 45degree angle to the patient's tolerance. Then the patient may lower theaffected arm A18 slowly at the same angle using the opposite handle 360as a braking means. This exercise could also be performed in a standingposition depending on the height of the patient relative to thehorizontal portion 322.

FIGS. 19a and 19b illustrate the adjustable shoulder exercise device 300being used to perform an external rotation on a horizontal planeexercise. This move allows the pair of pulleys 350 to be attached (byclamping action similar to cross attachment sleeves or otherwise) to theframe columns 320 at about elbow height for a standing patient that isfacing sideways relative to the frame columns 320 about 20 inches awayfrom the cross frame member 330. It is contemplated, however, that across frame member could alternatively be positioned in the desired spotand the pulleys attached to it.

The roller assembly attached to the cross frame member 330 so that theroller pad 371 is contact with back of the elbow. With affected arm A19down to the patient's side and their forearm and hand facing to thefront, the patient grasps the handle 360, takes their non-affected armand grasps the other handle 360, and pulls with their non-affected armon the handle 360 and rope 351 so that the affected arm A19 will bepulled out to the side toward the pulley 350. This action begins torotate the affected arm A19 into external rotation (shown in FIG. 19b ).The patient may then continue to pull with the non-affected arm untilthey reach their limit.

FIGS. 20a and 20b illustrate the adjustable shoulder exercise device 300being used to perform an internal rotation on a horizontal planeexercise. The pair of pulleys 350 may again be attached to the framecolumns 320, positioned at elbow height for a standing patient. Thepatient would then turn sideways relative to the frame columns 320. Forgreater internal rotation, the patient would move forward so thatadjacent pulley 350 is located more in line with the patient's side. Forless rotation, the patient would move away by backing farther away fromthe pulley 350.

FIG. 20a illustrates the patient with the pulley 350 at about elbowheight and a bit further forward relative to his mid-section. Thepatient has a thumb up hand grip on the handle 360. The patient may holdan extra roller pad 371 between his bicep and his rib cage. The patientthen applies pressure inward on foam pad roller pad 371 and pulls out ofthe rope 351 in the non-affected hand, causing the shoulder to rotate intoward his abdomen and creating internal rotation in an adductedposition.

FIG. 20b shows the completion of the internal rotation at its mechanicallimit (by stepping forward, however, the patient can increase the rangeof motion).

FIGS. 21a and 21b illustrate the adjustable shoulder exercise device 300being used to perform an external rotation on a vertical plane exercise.The pair of pulleys 350 may again be attached to the frame columns 320,located at about ear height for a seated patient. The handles 360 are tobe adjusted so that the length of the rope 351 allows the patient totake their non-affected hand and push out (as shown in FIG. 21a ) on thehandle 360 to causing the affected arm A21 to be lifted upward whilerotating backwards, causing external rotation of the shoulder. Thepatient then continues to pull forward on the handle 360 with thenon-affected arm, rotating the arm until they reach their limit, andthen move their affected arm A21 back to the starting position (as shownin FIG. 20b ) to repeat the motion

A patient can also use the roller assembly attached to one of the crossframe members 330 so that the roller pad 371 rests below their armbetween the elbow and shoulder such that the angle formed between theelbow, arm pit, and hip is approximately 90 degrees.

FIGS. 22a and 22b illustrate the adjustable shoulder exercise device 300being used to perform an internal rotation on a vertical plane exercise.The roller assembly is attached to the cross frame member 330 so thatthe roller pad 371 is positioned to support the patients arm at aboutninety degrees of abduction while sitting in the chair. The cross framemember 330 with the active pulley assembly is located near the hip levelwhile sitting in a chair. This position will pull the arm into internalrotation.

FIG. 22a illustrates the starting position, with the affected hand A22gripping the handle 360. The hand can be palm down or the forearm can berotated into a more comfortable position to start the exercise. Usingthe opposite handle, the patient pulls on the handle 360 and theaffected arm A22 will be pulled down towards the pulley (not visible)and internally rotate the shoulder. If any pain is experienced, thepatient would stop pulling.

FIG. 22b illustrates the finished position, wherein the patient can stoppulling with the non-affected arm and bring the affected arm A22 back upinto the starting position and repeat exercise; or reverse action andpull up with affected arm while providing resistance with thenon-affected arm creating a resistance exercise routine. Advancedexercise can include isometric movement wherein the patient can pull upwith affected arm and completely resist any movement using non-affectedarm at various positions, creating the isometric effect.

In an alternate arrangement, the cross frame member 330 with the activepulley assembly may be located near the shoulder level while sitting ina chair.

FIGS. 23a and 23b illustrate the adjustable shoulder exercise device 300being used to perform a functional exercise which simulates gettingdressed through the performance of internal rotation. This movementrequires the pulleys 350 to be attached to the horizontal portion 322 ofeach frame columns 320. The patient starts with the affected arm A23 ontheir side while holding onto one handle 360 and the non-affected armgrasping the other handle at about shoulder height, as illustrated inFIG. 23a . The non-affected arm will then pull downwards, pulling theaffected arm A23 into an internal rotation up the patient's back. Thefinish point of the motion is shown in FIG. 23 b.

FIGS. 24a and 24b illustrate the adjustable shoulder exercise device 300being used to perform a functional exercise which simulates going upbehind the back through the performance of internal rotation. Thismovement requires the pulleys 350 to be attached to the horizontalportion 322 of each frame columns 320. The patient starts standing underone of the horizontal portions 322 so that the affected arm A24 is tothe outside of the pulley 350 on that horizontal portion. The affectedarm A24 is on the patient's side, holding onto one handle 360, and thenon-affected arm grasping the other handle and positioned overhead, asillustrated in FIG. 24a . The non-affected arm will then pull downwards,pulling the affected arm A24 up towards the patient's head. The finishpoint of the motion is shown in FIG. 24 b.

FIGS. 25a and 25b illustrate the adjustable shoulder exercise device 300being used to perform a resistance band external rotation on ahorizontal plane exercise. This requires the use of additional crossattachment sleeves 331 or other attachment mechanism that can attach toone of the frame columns 320 (or conceivably one of the cross framemembers) and provide a structure (such as a ring) that a resistance band380 can clip onto. With a resistance band 380 clipped to one of theframe columns 320 and a handle 360 attached to the other end of theresistance band 380, movements can be performed with automaticresistance as opposed to manually modulated resistance (with anon-affected arm). By placing the resistance band 380 at a desirableheight for external rotation on a horizontal plane and standing asrequired for external rotation on a horizontal plane relative to theresistance band and frame column 320 (as described shown and describedwith reference to FIGS. 19a and 19b ), a patient can perform theexternal rotation on a horizontal plane with the resistance band 380providing a progressive resistance to the patient.

Similarly, FIGS. 26a and 26b illustrate the adjustable shoulder exercisedevice 300 being used to perform a resistance band internal rotation ona horizontal plane exercise. This also requires the use of additionalcross attachment sleeves 331 or other attachment mechanism that canattach to one of the frame columns 320 (or conceivably one of the crossframe members) and provide a structure (such as a ring) that aresistance band 380 can clip onto. With a resistance band 380 clipped toone of the frame columns 320 and a handle 360 attached to the other endof the resistance band 380, movements can be performed with automaticresistance. By placing the resistance band 380 at a desirable height forinternal rotation on a horizontal plane and standing as required forinternal rotation on a horizontal plane relative to the resistance bandand frame column 320 (as described shown and described with reference toFIGS. 20a and 20b ), a patient can perform the internal rotation on ahorizontal plane with the resistance band 380 providing a progressiveresistance to the patient.

FIGS. 27a and 27b illustrate the adjustable shoulder exercise device 300being used to perform a resistance band internal rotation on a verticalplane exercise. As with the other resistance band set ups, this toorequires the use of additional cross attachment sleeves 331 or otherattachment mechanism that can attach to one of the frame columns 320 (orconceivably one of the cross frame members) and provide a structure(such as a ring) that a resistance band 380 can clip onto. With aresistance band 380 clipped to one of the frame columns 320 and a handle360 attached to the other end of the resistance band 380, movements canbe performed with automatic resistance.

For resistance band internal rotation on a vertical plane, the patientmay be standing, facing away from the frame column 320 to which theresistance band 380 being used is attached, with the affected arm A27 infront of that frame column 320. The resistance band 380 may be placed atapproximately top of the patient's head level. The patient can thengrasp the handle 360 and perform the internal rotation on a horizontalplane with the resistance band 380 providing a progressive resistance(as described shown and described with reference to FIGS. 22a and 22b ),a patient can perform the internal rotation on a horizontal plane withthe resistance band 380 providing a progressive resistance to thepatient.

It is contemplated that because pulley assemblies and resistance bandscan be used with the adjustable shoulder exercise device, the entirecontinuum of care for shoulder rehab can be done on one device. Thepulley assemblies and their rope/pulley set up allows a patient toperform all essential range of motion exercises once patient is allowedto start rehabilitation after surgery or injury. As the tissue heals andthe range of motion increases, then the patient starts to use theresistance bands to build up strength in the shoulder joint andsurrounding muscles. In this way, the resistance bands allow the patientto incorporate strength training with range of motion therapy. But thestrength training needs to be done in stages and thus the need fordifferent strength bands. Accordingly, resistance bands ranging from 5lbs to 50 lbs may be employed.

The instant invention has been shown and described herein in what isconsidered to be the most practical and preferred embodiment. It isrecognized, however, that departures may be made therefrom within thescope of the invention and that obvious modifications will occur to aperson skilled in the art.

What is claimed is:
 1. An adjustable shoulder exercise device,comprising: a frame base configured to allow the adjustable shoulderexercise device to stand freely when placed on a substantially flat,level surface; at least one elongated frame column having a bottom end,wherein the bottom end is attached to the frame base and includes avertical portion which extends vertically from the frame base in aperpendicular orientation relative to the surface on which the framebase is placed; wherein the at least one frame column includes an upperportion situated such that the vertical portion is between the upperportion and the bottom end, wherein the upper portion extends outwardlyrelative to the at least one frame column in a front direction; at leastone cross frame member attached to the at least one frame column at alocation in between the bottom end and the upper portion, wherein the atleast one cross frame member is oriented on an intersecting planerelative to the plane which includes the vertically orientated at leastone frame column.
 2. The adjustable shoulder exercise device of claim 1,additionally comprising at least one roller assembly that includes aroller member that is selectively attachable to at least one of the atleast one frame column and the at least one cross frame member and, whenattached to the at least one of the at least one frame column and the atleast one cross frame member, extends within a perpendicular planerelative to the plane which includes the at least one frame column andthe plane that includes the at least one cross frame member, wherein theroller assembly is operative to provide at least one of a support or anobstruction to a user's arm.
 3. The adjustable shoulder exercise deviceof claim 2, wherein the roller member is defined by a roller pad.
 4. Theadjustable shoulder exercise device of claim 1, additionally comprisingat least one pulley assembly that is selectively attachable to at leastone of the upper portion and the at least one cross frame member,wherein the at least one pulley assembly is configured to facilitatereciprocating motion between two limbs of a user.
 5. The adjustableshoulder exercise device of claim 4, additionally comprising at leastone roller assembly that includes a roller member that is selectivelyattachable to at least one of the at least one frame column and the atleast one cross frame member and, when attached to the at least one ofthe at least one frame column and the at least one cross frame member,extends within a perpendicular plane relative to the plane whichincludes the at least one frame column and the plane that includes theat least one cross frame member, wherein the roller assembly isoperative to provide at least one of a support or an obstruction to auser's arm.
 6. The adjustable shoulder exercise device of claim 1,additionally comprising a cross attachment sleeve, wherein said crossattachment sleeve is configured to attach to the at least one crossframe member and to the at least one frame column in a manner whichenables the at least one cross frame member to be selectively coupledwith the frame column.
 7. The adjustable shoulder exercise device ofclaim 1, wherein the upper portion extends orthogonally relative to theat least one frame column in a front direction.
 8. The adjustableshoulder exercise device of claim 1, additionally comprising at leastone resistance band that is selectively attachable to at least one ofthe at least one frame column and the at least one cross frame member,wherein the at least one resistance band is configured to provideprogressive resistance when pulled away from the at least one of the atleast one frame column and the at least one cross frame member to whichthe at least one resistance band is attached.
 9. The adjustable shoulderexercise device of claim 1, wherein the frame base includes a U-shapedbase support operative to provide a wide bottom surface suited to allowthe adjustable shoulder exercise device to stand freely.
 10. Anadjustable shoulder exercise device, comprising: a frame base configuredto allow the adjustable shoulder exercise device to stand freely whenplaced on a substantially flat, level surface; a pair of elongated framecolumns running in parallel, wherein each frame column has a bottom endthat is attached to the frame base and includes a vertical portion whichextends vertically from the frame base in a perpendicular orientationrelative to the surface on which the frame base is placed; wherein eachframe column additionally includes an upper portion situated such thatthe vertical portion is between the upper portion and the bottom end,wherein the upper portion extends outwardly relative to the frame columnof which the upper portion is a part of in a front direction; at leastone cross frame member attached to the frame columns at a location inbetween the bottom end and the upper portion of each frame column,wherein the at least one cross frame member is oriented on anintersecting plane relative to the plane which includes the verticallyorientated frame columns.
 11. The adjustable shoulder exercise device ofclaim 10, additionally comprising at least one roller assembly thatincludes a roller member that is selectively attachable to at least oneof the frame columns and the at least one cross frame member and, whenattached to the at least one of the frame columns and the at least onecross frame member, extends within a perpendicular plane relative to theplane which includes the frame columns and the plane that includes theat least one cross frame member, wherein the roller assembly isoperative to provide at least one of a support or an obstruction to auser's arm.
 12. The adjustable shoulder exercise device of claim 11,wherein the roller member is defined by a roller pad.
 13. The adjustableshoulder exercise device of claim 10, additionally comprising at leastone pulley assembly that is selectively attachable to at least one ofthe frame columns and the at least one cross frame member, wherein theat least one pulley assembly is configured to facilitate reciprocatingmotion between two limbs of a user.
 14. The adjustable shoulder exercisedevice of claim 10, additionally comprising a plurality of crossattachment sleeves, wherein each of said cross attachment sleeves isconfigured to attach to the at least one cross frame member and to oneof the frame columns in a manner which enables the at least one crossframe member to be selectively coupled with the applicable frame column.15. The adjustable shoulder exercise device of claim 10, wherein theupper portion extends orthogonally relative to the frame column of whichit is a part of in a front direction.
 16. The adjustable shoulderexercise device of claim 10, additionally comprising at least oneresistance band that is selectively attachable to at least one of theframe columns and the at least one cross frame member, wherein the atleast one resistance band is configured to provide progressiveresistance when pulled away from the at least one of the frame columnsand the at least one cross frame member to which the at least oneresistance band is attached.
 17. The adjustable shoulder exercise deviceof claim 10, wherein the frame base includes a U-shaped base supportoperative to provide a wide bottom surface suited to allow theadjustable shoulder exercise device to stand freely and a lateralportion which extends between opposing sides of the base support. 18.The adjustable shoulder exercise device of claim 17, wherein the bottomend of each frame column is attached to the lateral portion at adifferent location relative to the other.
 19. An adjustable shoulderexercise device, comprising: a frame base operative to allow theadjustable shoulder exercise device to stand freely when placed on asubstantially flat, level surface, wherein the frame base includes aU-shaped base support operative to provide a wide bottom surface and alateral portion which extends between opposing sides of the basesupport; a pair of elongated frame columns running in parallel, whereineach frame column has a bottom end that is attached to the lateralportion at a different location relative to the other and includes avertical portion which extends vertically from the frame base in aperpendicular orientation relative to the surface on which the framebase is placed; wherein each frame column additionally includes an upperportion situated such that the vertical portion is between the upperportion and the bottom end, wherein the upper portion extendsorthogonally relative to the frame column of which the upper portion isa part of in a front direction; at least one cross frame member attachedto the frame columns at a location in between the bottom end and theupper portion of each frame column, wherein the at least one cross framemember is oriented on an intersecting plane relative to the plane whichincludes the vertically orientated frame columns; at least one rollerassembly that includes a roller pad that is selectively attachable to atleast one of the frame columns and the at least one cross frame memberand, when attached to the at least one of the frame columns and the atleast one cross frame member, extends within a perpendicular planerelative to the plane which includes the frame columns and the planethat includes the at least one cross frame member, wherein the rollerassembly is operative to provide at least one of a support or anobstruction to a user's arm; and a plurality of cross attachmentsleeves, wherein each of said cross attachment sleeves is configured toattach to the at least one cross frame member and to one of the framecolumns in a manner which enables the at least one cross frame member tobe selectively coupled with the applicable frame column.
 20. Theadjustable shoulder exercise device of claim 19, additionallycomprising: at least one of at least one pulley assembly and at leastone resistance band; wherein the at least one pulley assembly isselectively attachable to at least one of the frame columns and the atleast one cross frame member, wherein the at least one pulley assemblyis configured to facilitate reciprocating motion between two limbs of auser; and wherein the at least one resistance band is selectivelyattachable to at least one of the frame columns and the at least onecross frame member, wherein the at least one resistance band isconfigured to provide progressive resistance when pulled away from theat least one of the frame columns and the at least one cross framemember to which the at least one resistance band is attached.